Kelleys Island Audubon Club Membership Application

Name: ________________________________________________________

Address: ______________________________________________________

City: _________________________ State: __________ Zip: ___________

Telephone: ____________________________________________________

E-mail: _______________________________________________________

I am willing to volunteer my time at an ( ) Event or on a ( ) Committee

___________ Membership amount enclosed $15 Individual

___________ Membership amount enclosed $25 Family

___________ Pape Memorial Donation
(Kelleys Island Sccience Reference Libarary)

___________ Navorska Memorial Donation ( Monthly Bird Census)

Print and Mail Application to:

Kelleys Island Audubon Club
PO Box 42
Kelleys Island, Ohio 43438
419 746-2258

Last updated on July 31, 2006